Transcript Surveillance Visits - Field Veterinarian

Exotic Disease Response (EDR)
Training
Field Team Leader
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Training Agenda
During this session we will cover the following processes:
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Organise Surveillance Teams
Prepare for Surveillance Visit
Conduct Surveillance Visit
Evaluate and Record Surveillance Visit
Evaluate and Record lab Results from Surveillance
Stand Down Resources
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Session Outcomes
At the end of this session you should be able to:
• deliver briefings / debriefings to surveillance teams
• decide whether to escalate as a result of:
• Field Veterinarian report from a farm
• exceptions uncovered during a debrief
• complete visit documentation
• make a diagnosis after receiving lab results
• verify stand down requirements
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Surveillance Process
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The Role of a Field Team Leader in an
Exotic Disease Response
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Managing teams (up to 7 people)
Act as Interface with Field Visit Coordinator
Daily briefing / debriefings
Deciding whether to escalate as result of:
– field visits
– lab results
• Standing down resources
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Escalation Path…
Surveillance
Manager
Public Report
Coordinator
Call Centre
Team
Leader
Report
Evaluation
Team Leader
Call Centre
Operator
Report
Evaluation
Officer
GIS
Coordinator
Field Visit
Coordinator
GIS
Officer
Field Team
Leader
Field Team Leader
Field
Vet
Administration
Coordinator
Sample
Reception
Team
Leader
Admin
Officer
Admin
Team
Leader
Investigations
Coordinator
Field
Investigator
Vet
Tracing
Evaluation
Officer
Tracing
Coordinator
Tracing
Team
Leader
Tracing
Officer
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Organise Surveillance Field Teams
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Organise Surveillance Field Teams
At the end of this topic you should be able to:
• describe some of the key things to be aware of when
delivering briefings
• use the SMEAC Checklist to perform the initial briefing of
a surveillance team
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Delivering Briefings
Briefing should be relaxed and reasonably informal, and
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Brief – Only the information that they need
Clear – Avoid unfamiliar technicalities, acronyms
Interesting – Use examples that the group will recognise
In control – Arrange the group so that you are its focus
Confident – Stick to the information, relax
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Surveillance Briefings – Key Points
• Are a method of getting the key information to people
regularly and quickly
• Follow a consistent agenda
• Highlight Changes – especially policy
• Is a two way process – not just about informing people
but listening and responding to questions and concerns
• Contain important points from training
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Prepare for Surveillance Visit
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Prepare for Surveillance Visit
At the end of this topic you should be able to:
• perform daily briefing to teams on latest disease
information, policy changes and issues of concern
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Conduct Surveillance Visit – 1 of 3
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Conduct Surveillance Visit – 2 of 3
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Conduct Surveillance Visit – 3 of 3
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Conduct Surveillance Visit
At the end of this topic you should be able to:
• take the appropriate action when a Field Veterinarian
reports clinical signs from a farm
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Evaluate and Record Surveillance Visit
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Evaluate and Record Surveillance Visit
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Evaluate and Record Surveillance Visit
At the end of this session you should be able to:
• conduct the surveillance debrief
• determine whether to escalate an exception uncovered
during a surveillance visit debriefing
• complete the Office Use Only section of the visit
documentation
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Evaluate and Record Lab Results
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Evaluate and Record Lab Results
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Evaluate and Record Lab Results
At the end of this session you should be able to:
• track the status of lab results
• review surveillance results recorded in IRS
• complete the Lab Diagnosis form
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Lab Submission Screen
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Place Details
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Surveillance Task History Report
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Sensitivity and Specificity
Sensitivity (SE)
Measures the ability of the test to
correctly identify infected animals
Specificity (SP)
Measures the ability of a test to
correctly identify disease free animals
Predictive Value (PV)
(+ve and –ve)
Probability that an animal testing +ve
(or –ve) is actually diseased (or not).
Depends on SP, SE and prevalence
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Example interpretation 1
1000 pigs, 60 sampled
SE 95%, SP 60%
No clinical signs
Prevalence 5%, +ve PV = 11%
Prevalence 10%, +ve PV = 21%
Prevalence 50%, +ve PV = 70%
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Example interpretation 2
1000 sheep, 60 sampled
SE 95%, SP 85%
No clinical signs
Prevalence 5%, +ve PV = 25%
Prevalence 10%, +ve PV = 41%
Prevalence 50%, +ve PV = 86%
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Stand Down Resources
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Stand Down Resources
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Stand Down Resources
At the end of this session you should be able to:
• confirm:
– which Veterinarians visited an infected place
– which other places they have visited, and
– if those visits were made during the stand down
period
• stand down potentially infectious team members
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Stand Down Resources
Stand Down Period
Risk Period
farm visits
Farm
declared
Infected
farm visits
1. Determine At Risk People – who visited the Infected Place?
2. Determine At Risk Places – where have they been before and after?
3. Determine who should be stood down – has stand down period already elapsed?
4. Determine Surveillance Requirements – what risk is associated with these visits?
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Stand Down Report
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Stand Down Report
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Summary
During this session we covered:
• delivering briefings / debriefings to surveillance teams
• deciding whether to escalate as a result of:
• Field Veterinarian report from a farm
• exceptions uncovered during a debrief
• completing visit documentation
• making a diagnosis after receiving lab results
• verifying stand down requirements
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